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General NPI Number Information
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NPI Number | 1033915848
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Entity Type | Individual
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Provider Name | ALYSEE GIRAUD-CARRIER PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/21/2025
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 120 N OAK ST
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City | HINSDALE
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State | IL
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Zip | 60521-3829
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Country | US
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Telephone | 630-856-6782
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Fax | 630-856-5703
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Provider Business Mailing Address
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Address Line | 455 E WATERSIDE DR UNIT 914
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City | CHICAGO
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State | IL
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Zip | 60601-0016
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Country | US
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Telephone | 801-564-1458
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 085-011065
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License Number State | IL
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